ECG Cases: EKG Interpretation

Amacala e-ECG ayindlela yokuhumusha i-ECG ekuqopheni kwangempela kwe-EKG okuhamba phambili okungu-12 okuvela ezigulini, hhayi imidwebo. Icala ngalinye lemibuzo libonisa i-ECG ephelele ehamba phambili engu-12 enomugqa wesigqi se-lead II: khetha okutholakele, bese ubona ukuthi yimiphi imigqa enikezayo nokuthi kungani.

Yakhelwe abafundi bezokwelapha, abafundi bobuhlengikazi, abahlengikazi, abezimo eziphuthumayo kanye nodokotela abancane abalungiselela izivivinyo noma umsebenzi wewadi: imibuzo yokuzijwayeza enezimpendulo, imodi yokuhlolwa enesikhathi, izifundo ezimfushane, ama-caliper kanye namacala amasha amahlanu nsuku zonke. Akukho akhawunti, akukho zikhangiso, kusebenza ungaxhunyiwe ku-inthanethi.

AMA-ECGS AYI-12 ANGEQINISO ONGAWETHEMBA
• Amarekhodi angu-940 avela ezigulini zangempela, abhalwe ngodokotela benhliziyo
• Ukuqoshwa kusetshenziswa kuphela uma ukuxilongwa kodokotela benhliziyo kanye nokuhlaziywa kwekhompyutha okuzimele (12SL) kuvumelana, futhi izilinganiso zakho zihlangabezana nemigomo yalokho kuthola.
• Kuphrintiwe ngendlela ejwayelekile: ama-lead angu-12, umugqa we-rhythm we-lead II omude, 25 mm/s, 10 mm/mV kanye ne-1 mV calibration pulse.

I-Pinch ukuze isondele kunoma iyiphi inkimbinkimbi.

I-MPENDULO YONKE IYACHAZWA.

• Ama-lead abalulekile anombala ku-tracing, futhi ukulandelela kuhlala esikrinini ngenkathi ufunda.
• Isilinganiso senhliziyo, isikhawu se-PR, ubude be-QRS, i-QTc kanye ne-axis yalokho kurekhoda.
• Imigomo yokuthola, ngamazwi alula.

• Impendulo engalungile? Uyabona ukuthi ukhethe ini nokuthi yayiyini ngempela.

LINGANISA NJENGOBA KUPHEPHA.
Hudula ama-caliper ngaphesheya kokulandelela ukuze ulinganise noma yisiphi isikhawu ngama-millisecond, ngesilinganiso senhliziyo esihambisanayo.

LOKHO OKUKWENZAYO
• Isigqi: isigqi esivamile se-sinus, i-sinus tachycardia, i-sinus bradycardia, i-atrial fibrillation, isigqi esisheshayo, ama-ventricular complexes angakafiki isikhathi
• Ukuqhuba: i-AV block yezinga lokuqala, i-left bundle branch block, i-right bundle branch block, i-left anterior fascicular block
• I-Infarction kanye ne-hypertrophy: i-inferior myocardial infarction, i-anteroseptal myocardial infarction, i-left ventricular hypertrophy
• Izinketho zezimpendulo zikhethwa kusukela kokutholakele okuvame ukudidaniswa nokufanele

IZIFUNDO EZIMFUSHANE EZIYI-16
Ikhasi elilodwa ngokuthola: indlela yokukubona, ukuthi ungabheka kuphi, izithiyo ezivamile, kanye nokuqoshwa kwezibonelo zangempela. Futhi kuhlanganisa i-atrial flutter, i-Wolff-Parkinson-White kanye ne-QT ende.

AMACALA AMASHA AMA-5 NSUKU ZONKE
Isethi emfushane yansuku zonke, ukuzijwayeza okuxubile noma ukuzijwayeza ngeqembu, uchungechunge lwansuku zonke, kanye nesikolo sakho sokuthola ngakunye ukuze ubone ukuthi yini esadinga ukusebenza.

NGOLIMI LWAKHO
IsiNgisi, iSpanishi, isiPutukezi, isiFulentshi, isiJalimane, isi-Indonesian, isiTurkey, isi-Arabhu nesiVietnam.

MAHHALA KANYE NOKUHLE
Mahhala: amacala amahlanu ngokutholwa ngakunye, amacala amasha amahlanu ngosuku, zonke izifundo ezingu-16 kanye nezibonelo ezimbili ngesifundo ngasinye. Akukho akhawunti, akukho zikhangiso.

I-ECG Cases Pro iwukuthenga okukodwa, hhayi okubhaliselwe. Ivula wonke amacala, zonke izibonelo, ama-caliper, izivivinyo ezihleliwe kanye nokubuyekezwa kwamacala owaphambukile.

ISEBENZA NGOKUNGXUMILE
Konke ukuqoshwa kungaphakathi kohlelo lokusebenza. Akukho okwenzayo kuhlelo lokusebenza okushiya ifoni yakho.

OKUHLE UKWAZI
• Ukuqoshwa kuvela kumasethi edatha avulekile e-PTB-XL kanye ne-PTB-XL+ ku-PhysioNet (Wagner et al., Strodthoff et al.), asetshenziswa ngaphansi kwelayisensi ye-Creative Commons Attribution 4.0. Amakhredithi aphelele akuhlelo lokusebenza.

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